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North Carolina rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $20.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $57.75 / $72.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.70 / $32.11 / $55.50
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $42.00 / $42.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $37.79 / $37.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $152.29 / $152.29
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $180.14 / $202.14